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COVID-19 restrictions increased perceptions of social isolation for older people discharged home after rehabilitation: A mixed-methods study

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Hogan, G, Taylor, NF, Robins, L, Callisaya, ML ORCID: 0000-0003-2122-1622, Snowdon, M, Moran, C and Snowdon, DA 2022 , 'COVID-19 restrictions increased perceptions of social isolation for older people discharged home after rehabilitation: A mixed-methods study' , Australasian Journal on Ageing , pp. 1-9 , doi: 10.1111/ajag.13062.

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Abstract

ObjectiveTo explore older persons perceptions of the impact of COVID-19 restrictions on participating in community activities after discharge from inpatient rehabilitation. MethodsMixed-methods study design. Participants were older adults who were discharged home following inpatient rehabilitation. Interviews were conducted with 70 participants, with a variety of diagnoses, 8 weeks after discharge from inpatient rehabilitation. Frequency of participation in domestic, leisure/work and outdoor activities was measured using the Frenchay Activities Index (FAI). Qualitative analysis was completed using qualitative content analysis and triangulated with FAI scores. ResultsIn all, 70 older adults (mean age: 73.0 years, SD: 9.9; 59% female) participated in the study. The overarching theme was that participants felt socially isolated following discharge from rehabilitation, with COVID-19 restrictions increasing perceptions of social isolation and complicating their return to participating in community activities. The four categories informing the overarching theme were as follows: physical health was the primary limitation to participation in community activities; COVID-19 restrictions limited participation in social activities and centre-based physical rehabilitation; low uptake of videoconferencing to facilitate socialisation and rehabilitation; and reduced incidental physical activity. Mean FAI score was 21.2 (SD 7.8), indicating that participants were moderately active. Participants most commonly performed domestic activities (mean: 10.0, SD: 4.1), followed by outdoor activities (mean: 6.6, SD: 3.5) and leisure/work activities (mean: 4.5, SD: 2.5). ConclusionsCOVID-19 restrictions exacerbated perceptions of social isolation and the limitations already imposed by poor physical health after discharge from rehabilitation. The findings highlight the need for rehabilitation that addresses the psychological and social dimensions of community reintegration.

Item Type: Article
Authors/Creators:Hogan, G and Taylor, NF and Robins, L and Callisaya, ML and Snowdon, M and Moran, C and Snowdon, DA
Keywords: activities of daily living, community integration, community participation, COVID-19, rehabilitation, social isolation
Journal or Publication Title: Australasian Journal on Ageing
Publisher: Wiley-Blackwell Publishing Asia
ISSN: 1440-6381
DOI / ID Number: 10.1111/ajag.13062
Copyright Information:

© 2022 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc. This is an open access article under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) License, which permits use, (https://creativecommons.org/licenses/by/4.0/) distribution and reproduction in any medium, providedthe original work is properly cited

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